Table of Contents
List of Figures xiii
List of Tables xv
Series Preface xvii
One: History and Development of the MCMI® Through MCMI®-IV 1
Construction of the Legacy MCMI Tests (MCMI, MCMI-II, MCMI-III) 3
Development of the MCMI-IV 7
Test Yourself 16
Two: MCMI®-IV and Millon Evolutionary Theory 19
Personality as Focal Point in Clinical Assessment and Intervention 19
An Evolutionary Model of Personality 20
Motivating Aims 21
Problematic Patterns in Motivating Aims 23
Levels of Adaptiveness 25
Structural and Functional Domains 25
Applying Millon’s Evolutionary Theory to the MCMI-IV 29
Test Yourself 30
Three: Administration and Scoring 33
Administration 33
Scoring 35
Test Yourself 38
Four: Sections and Scales 41
Validity and Modifying Indices 42
Noteworthy Responses 44
Clinical Personality Patterns 45
Severe Personality Pathology 77
Clinical Syndromes 85
Severe Clinical Syndromes 87
Grossman Facet Scales 88
Test Yourself 95
Five: Interpretive Principles 97
Role of Personality in Assessment: A Recapitulation 97
Building an Integrative MCMI-IV Interpretation 99
Integrating the Overall Clinical Picture 107
Test Yourself 107
Six: Therapeutic Alliance Building 109
Introducing the MCMI-IV to the Examinee 110
Preparing the Examinee for Feedback 111
The Examiner’s Initial Preparation for Feedback 111
Moving Away From Labels 112
Understanding the Examinee’s Test-Taking Style (Modifying Indices) 113
Language of the Theory = Language of Alliance 1: Individual Personality Scales 114
Language of the Theory = Language of Alliance 2: Multiple Personality Scales 115
Language of the Theory = Language of Alliance 3: Facet Scales 117
Language of the Theory = Language of Alliance 4: Clinical Symptomology 119
Test Yourself 120
Seven: Strengths and Weaknesses of the MCMI®-IV 123
A. Jordan Wright
Strengths 123
Weaknesses 127
Final Comment 133
Test Yourself 135
Eight: Clinical Applications of the Millon Inventories 137
Key MCMI-IV Augmentation: Personality Spectra and Clinical Populations 137
The MCMI-IV in Clinical Assessment 139
Specific Assessment Applications With the MCMI 142
Other Millon Inventories 144
Test Yourself 148
Nine: Illustrative Case Reports 151
Case Example 1 151
Case Example 2 160
References 169
About the Authors 175
Index 177
